MEDICARE: DENNIS J EASTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD040950E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134115280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS J EASTER MD

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-273-8835
Fax Number	:	717-202-0100

Provider Business Practice Location Address
First Line	:	845 HELEN DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7493
Country	:	US
Telephone Number	:	717-273-8835
Fax Number	:	717-202-0100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	05/03/2021

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Directions to “ DENNIS J EASTER MD” Practice Location

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